How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $467.74 | Facility | None | $173.78 | $173.78 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $354.81 | Professional | None | $173.78 | $229.09 | $354.81 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $380.19 Typical High $380.19 | Professional | None | $162.18 | $380.19 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $295.12 Typical High $912.01 | Facility | None | $138.04 | $295.12 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $104.71 Typical High $512.86 | Professional | None | $33.11 | $104.71 | $512.86 |
CareSource Setting Professional Modifier None Typical Low $316.23 Median $338.84 Typical High $354.81 | Professional | None | $316.23 | $338.84 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $524.81 Typical High $794.33 | Facility | None | $190.55 | $524.81 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $269.15 Typical High $1,023.29 | Professional | None | $131.83 | $269.15 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $501.19 | Professional | None | $234.42 | $338.84 | $501.19 |
United Setting Professional Modifier None Typical Low $67.61 Median $158.49 Typical High $562.34 | Professional | None | $67.61 | $158.49 | $562.34 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $102.33 Typical High $125.89 | Professional | 52 · Reduced service | $87.10 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $40.74 Typical High $50.12 | Professional | 53 · Discontinued | $34.67 | $40.74 | $50.12 |
Where Georgia sits
The same service costs 4.5 times more in Alaska than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 51st of 51
$132
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.